EPOETIN ALFA (PROCRIT) INJECTION NON-ONCOLOGY		version 5/23/2025		

Appointment Requests 	

	
	Interval	Defer Until	Duration	
	☑	Referral to IV Infusion Room	1 time a week	S	4 treatments	
		Status: Future, Expected: S, Expires: S+365, Clinic Performed
	Urgency of Scheduling: Routine		

Labs 	

	
	Interval	Defer Until	Duration	
	☐	CBC with platelet and differential	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect		

Nursing Orders 	

	
	Interval	Defer Until	Duration	
	☐	Nursing communication	Every visit	S	Until discont'd	
		Ensure hemoglobin / hematocrit results have been obtained before each dose. If not, please obtain.		

Medications 	

	
	Interval	Defer Until	Duration	
	☐	epoetin alfa (EPOGEN,PROCRIT) subcutaneous injection solution 40,000 Units	1 time a week	S	4 treatments	
		40,000 Units, subcutaneous, once, Starting when released